CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Tristar Skyline Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $468
Cash Discount Price: $1,897
vs. Medicare Baseline: 4.38x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Tristar Skyline Medical Center is $468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,897. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.38x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$1,897

Average discount available for prompt cash payment at this facility.

Insurance Median

$468

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,897 (1776%)

Insurance Median: $468 (438%)

Cash: $1,897 (1776% of Medicare)

Ins. Median: $468 (438% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 438% of the Medicare baseline (a markup of 338%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$54 - $107	51%
Humana	$110 - $1,249	103%
Aetna	$123 - $961	115%
United	$155 - $865	145%
Cigna	$188 - $627	176%
Kentucky Labor Cabinet	$345 - $354	323%
Nhc Advantage, Inc.	$356 - $365	333%
Pruitt Health (Allyalign)	$356 - $365	333%
Centurion	$772 - $792	723%
Bgfh Singlesource	$936 - $1,634	876%
Employers Health Network	$1,311 - $1,345	1227%
Mhnet	$1,405 - $1,442	1315%
Odom'S Tn Pride Sausage	$1,405 - $1,442	1315%
Multiplan	$1,536 - $1,576	1438%
Beech Street	$1,648 - $1,691	1543%
Prime Health	$1,648 - $1,691	1543%
Triwest Healthcare	$1,835 - $1,884	1718%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,897.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Skyline Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.